Case Report of Successful IVF with Pregnancy of a 46 Year Old Lady after 12 Years Trials and 10 failed IVFs

Ioannis K. Toliopoulos
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Abstract

Background: In this study, we indicate the importance of a case, where specific diagnostic tests such as NK level, NK endometrial cells, NK activity, embryotoxicity (ETA), and PLA (platelet leukocyte aggregates) were used for investigating infertile women with many failed IVFs. Case presentation: We describe a very important case of unexplained infertility, where a 46 year old lady managed finally to get pregnant after 12 years of consecutive trials and 10 failed IVFs. Our center tested her for all 3 NK markers, ETA, and Vitamin D3, TSH, and PLA, which are essential for positive pregnancy. The lady was treated with intravenous solution of intralipid after the high NK result. She was administered with two dosages and then performed embryo transfer where after 10 days she received the positive pregnancy test result. Conclusion: The high evaluation of immune status based on the specific tests of NK panel (all 3 markers), ETA, and PLA can save time and money for couples that have attempted several embryo transfers in IVF centers with unsuccessful pregnancies. Also, the targeted individualized treatment of the couple can significantly increase the chances for successful pregnancy.
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一名46岁妇女经12年试验成功怀孕10次失败的病例报告
背景:在这项研究中,我们指出了一个案例的重要性,在这个案例中,NK水平、NK子宫内膜细胞、NK活性、胚胎毒性(ETA)和PLA(血小板白细胞聚集物)等特定诊断测试被用于调查许多试管婴儿失败的不孕妇女。病例介绍:我们描述了一个非常重要的病例不明原因的不孕症,其中一个46岁的妇女成功怀孕,经过12年的连续试验和10次失败的体外受精。我们中心检测了她所有的3种NK标记物,ETA,维生素D3, TSH和PLA,这是阳性妊娠所必需的。在高NK结果后,女士接受静脉注射脂内溶液治疗。她服用了两剂,然后进行了胚胎移植,10天后,她的妊娠试验结果呈阳性。结论:基于NK(全部3种标志物)、ETA和PLA特异性检测对免疫状态的高评价,可以为多次尝试IVF中心胚胎移植但妊娠失败的夫妇节省时间和金钱。此外,对夫妇进行有针对性的个性化治疗可以显著增加成功怀孕的机会。
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